Our directory features the top BPO companies in the USA, evaluated using five ranking criteria, 12 expert reviewers, and 263+ verified client reviews, giving you a reliable way to choose the best BPO provider.
Select the Best BPO Company in the USA
5 Companies-Rankings updated: September 07, 2026
DesignRush evaluates the BPO companies listed based on expertise, credentials, and client satisfaction ratings, using objective data and verified reviews. Some placements are sponsored.
Expert Infusion Billing That Helps Your Practice Get Paid Faster
Infusion billing involves accurately documenting physician services, applying proper coding, and capturing charges for procedures such as drug infusions, hydration therapy, biologic treatments, chemotherapy, and therapeutic injections...
Top Services:
BPO
Location
Sheridan, Wyoming
Number of Employees
50 - 99
Average Hourly Rate
$70/hr
Minimal Budget
$50,000 & Up
Infusion Billing Services Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Auxis is a leading management consulting and outsourcing firm specializing in AWS consulting. We help senior executives achieve peak performance in their back office by providing services such as Nearshore Outsourcing, Cloud Computing, Shared Services, RPA, Help Desk & Desktop Support, and Finance &...
Top Services:
Big Data Analytics
IT Services
BPO
Location
Fort Lauderdale, Florida
Number of Employees
500 - 999
Average Hourly Rate
$75/hr
Minimal Budget
$50,000 & Up
Auxis Services
Big Data Analytics
IT Services
BPO
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
We Focus On Customer Service So You Can Focus On Your Business.
Five Star Solutions is a premier, mid-sized contact center outsourcer dedicated to delivering world-class customer care. By blending boutique-level agility with enterprise-grade capabilities, the company serves as a seamless extension of its clients' brands...
Top Services:
Business Consulting
Call Centers
BPO
Phone Answering Services
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Location
Sioux Falls, South Dakota
Number of Employees
1000 & Up
Average Hourly Rate
$25/hr
Minimal Budget
$50,000 & Up
Five Star Solutions Services
Business Consulting
Call Centers
BPO
Phone Answering Services
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
iRapidO Global is a Business Process Management organization delivering scalable back-office and operational support to growing businesses worldwide. We combine domain expertise, structured process frameworks, automation, and AI-enabled tools to help companies improve efficiency, control costs, and focus on...
Top Services:
Accounting
BPO
Business Consulting
Call Centers
HR Outsourcing
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Location
Raleigh , North Carolina
Number of Employees
250 - 499
Average Hourly Rate
$50/hr
Minimal Budget
$50,000 & Up
iRapidO Global Services
Accounting
BPO
Business Consulting
Call Centers
HR Outsourcing
Customer Support
Market Research
Phone Answering Services
IT Services
IT Compliance Solution
Data sourced from the agency's DesignRush profile, its website, and other relevant accounts
Finance
Insurance
Health Care
Data sourced from the agency's DesignRush profile
iRapidO Global Reviews & Testimonials
Nurse Gigs Review from Google
5.0★
Nurse Gigs's Review Sourced from Google
iRapidO offers top-quality services with impressive speed and professionalism. Their team handles projects efficiently and ensures consistent, high-value results. Great service experience with strong reliability—definitely recommended for businesses needing fast and dependable solutions.
Driver Gigs Review from Google
5.0★
Driver Gigs's Review Sourced from Google
iRapidO delivers outstanding quality and services. The team is highly professional, fast, and reliable, providing excellent results every time. Their support, pricing, and overall service experience make iRapidO one of the best choices for businesses. Highly recommended!
Abhishek Pal vlogz Review from Google
4.0★
Abhishek Pal vlogz's Review Sourced from Google
I had a great experience working with iRapidO Global. The team is professional, responsive, and truly understands business needs. They deliver quality work on time and make collaboration smooth and efficient. I’m impressed with their expertise in global capability centers and how seamlessly they handle operations. Highly recommend them to any company looking for a reliable and experienced partner.
Reviews verified by DesignRush and sourced from the agency's profile View All Reviews
What services do BPO companies in the USA typically provide?
US BPO providers support businesses across front-office, back-office, and operational functions, including:Â
Customer support and call center services across phone, chat, and email.Â
Back-office services such as data entry, billing, payroll, and document processing.Â
Finance and accounting support, including bookkeeping, AP and AR, and reporting.Â
Human resources outsourcing covering recruitment support, onboarding, and HR administration.Â
IT and technical support, including help desk and application support.Â
Sales and lead generation service,s such as appointment setting and CRM management.Â
Marketing operations support, including campaign execution and analytics.Â
Industry-specific services for healthcare, legal, and financial operations.Â
How much does it cost to hire a BPO company in the USA?
Based on DesignRush portfolio data, hiring a BPO company in the USA costs between $90 and $100 per hour, depending on service type, specialization, and delivery model.Â
Project-based pricing:Â
Small projects: $20,000 to $25,000 for short-term or limited-scope support, usually 2 to 6 months.Â
Mid-range contracts: $25,000 to $100,000 for ongoing back office, customer support, or healthcare billing over 6 to 18 months.Â
Large-scale programs:Â $100,000 to $500,000+ for long-term, multi-team operations such as customer service, sales support, or medical billing.Â
Enterprise-level BPO:Â $1 million+ annually for high-volume, regulated, or fully managed operations.Â
In practice, most US BPO contracts fall between $25,000 and $250,000, with pricing driven by workload volume, service complexity, and contract duration.Â
Which industries most commonly use BPO services in the US?